Active NPIIndividual providerSole proprietor

Dr. Phillip E Bleak, DDS

Dentist in Carver, Massachusetts

NPI Number1720220825
Practice location
300 Tremont St Ste 6, Carver, MA 02330-1761
Fax
—
Last updated
July 26, 2012

Phillip Earl Bleak is a Dentist based in Carver, MA. Phillip Earl Bleak practices in Carver, MA and has the professional credentials of DDS. The NPI Number for Phillip Earl Bleak is 1720220825 and holds a License No. DN 1855376 (MA). The current practice location address for Phillip Earl Bleak is 300 Tremont St Ste 6, Carver, MA 02330-1761 and can be reached out via phone at 801-557-1116.

Provider Profile Details

NPI Number
1720220825
Provider Name
Phillip Earl Bleak
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
300 Tremont St Ste 6, Carver, MA 02330-1761
Phone Number
801-557-1116
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2009
Last Update Date
July 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Tremont St Ste 6
Carver, MA 02330-1761
City
Carver
Zip
02330-1761
Phone Number
801-557-1116
Carver, MA 02330Get directions →

Provider Business Mailing Address Details

Address
22 Powers Ln
Hingham, MA 02043-1432
City
Hingham
State
MA
Zip
02043-1432
Phone Number
801-557-1116

License Information

License Number
DN 1855376
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Phillip E Bleak, DDS?

The NPI number of Dr. Phillip E Bleak, DDS is 1720220825. It was assigned on April 3, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Phillip E Bleak, DDS?

Dr. Phillip E Bleak, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN 1855376.

Where does Dr. Phillip E Bleak, DDS practice?

The practice location is 300 Tremont St Ste 6, Carver, MA 02330-1761. The office can be reached at 801-557-1116 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720220825 directly on the NPPES registry website.

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